Individual
LAUREN ELISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
219 N 27TH ST STE 7, BOISE, ID 83702-4745
(208) 274-3757
Mailing address
175 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 274-3757
(208) 366-0574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8461473
ID
Other
Enumeration date
01/08/2024
Last updated
08/29/2025
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